Phoenix Center INC

NPI #1710986351 in Hilo, Hawaii

Provider Information

NPI Number: 1710986351
Entity Type: Organization
Organization Name: Phoenix Center INC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 15, 2005
Last Updated: Dec 12, 2023

Practice Location

Address: 169 PUUEO ST
City: Hilo
State: Hawaii
ZIP Code: 96720-2432
Phone: (808) 934-7355

Authorized Official

Name: SHELLEY HAM
Title: PRESIDENT
Phone: (808) 934-7355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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